Cardiogenic pulmonary edema grade 1
Discussion:
Pulmonary edema is graded depending on chest x-ray and pulmonary capillary wedge pressure (PCWP) is as follows:
- Grade 0: normal chest radiograph, PCWP 8-12 mmHg
- Grade 1: upper lobe diversion on a chest radiograph, PCWP 13-18 mmHg
- Grade 2: interstitial edema on a chest radiograph, PCWP 19-25 mmHg
- Grade 3: alveolar edema on a chest radiograph, PCWP >25 mmHg
Our case is representing grade 1 pulmonary edema.
Upper lobe pulmonary venous diversion (cephalisation) reflects elevation of left atrial pressure and can occur with pulmonary edema
Stag antler sign: The prominence of upper lobe pulmonary veins resembles a stag's antlers. It is the earliest sign of pulmonary venous hypertension (grade 1 pulmonary edema).
{"caseId":85524,"playlists":[],"playlist_ids_include_case":[]}